05D0643187 CLIA NUMBER - MOUNTAINS COMMUNITY HOSPITAL CLINICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0643187
  • Facility Name: MOUNTAINS COMMUNITY HOSPITAL CLINICAL LABORATORY
  • Facility Address: 29101 HOSPITAL RD
    LAKE ARROWHEAD, CA
    ZIP 92352
  • Facility Phone: 909 336-3651
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: XIAOYAN ZHOU
  • NPI Number: 1972570174
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 05D0643187
LAB Type Hospital
Facility Name MOUNTAINS COMMUNITY HOSPITAL CLINICAL LABORATORY
Street 29101 HOSPITAL RD
City LAKE ARROWHEAD
State CA
ZIP 92352
Phone 909 336-3651
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Hospital
Lab Director XIAOYAN ZHOU

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This page was last updated on: 9/29/2025